Active NPI
Carl Gordon Lesueur II, D.C.
- Chiropractor
- Draper, UT
National Provider Identifier
1770715831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7416390-1202
- Practice address
- 1178 Draper Pkwy
Draper, UT 84020 - Phone
- (801) 553-9691
- Fax
- (801) 571-4288
- NPI assigned
- Aug 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7416390-1202 | UT | Primary |
Addresses
Primary practice location
1178 Draper Pkwy
Draper, UT 84020
Mailing address
1178 E Draper Pkwy
Draper, UT 84020-9095
Phone (801) 553-9691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7416390-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Audiology Services LLC | Past | Accepting new patients | |
| Corner Canyon Pain & Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Draper, UT
- NPI 1992347512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1770715831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 E DRAPER PKWY",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209095",
"telephone_number": "801-553-9691",
"fax_number": "801-571-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 DRAPER PKWY",
"city": "DRAPER",
"state": "UT",
"postal_code": "84020",
"telephone_number": "801-553-9691",
"fax_number": "801-571-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESUEUR",
"first_name": "CARL",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7416390-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.